Venogram ext bil s&i at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$906.40
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$3,308.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$72.35 with Hill Physicians vs $7,576.36 with Cigna — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $72.35 | ↓ -92% |
| United | Medicaid|< 21 | $134.58 | ↓ -85% |
| United | Medicaid|> 21 | $134.58 | ↓ -85% |
| Hill Physicians | Medicaid|All Plans | $148.04 | ↓ -84% |
| Molina | Medicaid|All Plans | $176.38 | ↓ -81% |
| BCBS - Anthem | Medicaid|All Plans | $255.70 | ↓ -72% |
| California Health & Wellness | Medicaid|All Plans | $308.19 | ↓ -66% |
| Health Net | Medicaid|All Plans | $308.19 | ↓ -66% |
| Aetna | Commercial|PPO | $350.62 | ↓ -61% |
| Aetna | Commercial|All Other Plans | $350.62 | ↓ -61% |
| Aetna | Commercial|HMO | $350.62 | ↓ -61% |
| WCMG | Commercial|All Plans | $363.88 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $578.67 | ↓ -36% |
| BCBS - Anthem | Commercial|Connection EPO | $742.32 | ↓ -18% |
| BCBS - Anthem | Commercial|All Other Plans | $927.58 | ↑ +2% |
| Western Health Advantage | Commercial|All Plans | $1,157.80 | ↑ +28% |
| BCBS - Anthem | Commercial|MCS | $1,298.74 | ↑ +43% |
| Kaiser | Medicaid|All Plans | $1,356.28 | ↑ +50% |
| Kaiser | Commercial|All Plans | $1,786.32 | ↑ +97% |
| BCBS - Anthem | Medicare|All Other Plans | $1,925.02 | ↑ +112% |
| Blue Shield CA | Medicare|PPO | $2,041.38 | ↑ +125% |
| Humana | Medicare|All Plans | $2,041.38 | ↑ +125% |
| Aetna | Medicare|All Plans | $2,041.38 | ↑ +125% |
| Molina | Medicare|All Plans | $2,041.38 | ↑ +125% |
| United | Medicare|All Plans | $2,041.38 | ↑ +125% |
| Kaiser | Medicare|All Plans | $2,041.38 | ↑ +125% |
| Blue Shield CA | Medicare|HMO | $2,041.38 | ↑ +125% |
| Humana | Commercial|All Plans | $2,041.38 | ↑ +125% |
| BCBS - Anthem | Medicare|Imperial | $2,102.62 | ↑ +132% |
| BrightHealth | Commercial|All Plans | $2,245.52 | ↑ +148% |
| First Health | Commercial|All Plans | $2,481.00 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $2,481.00 | ↑ +174% |
| BlueShield | Medicare|Trauma | $2,551.73 | ↑ +182% |
| Sutter Health | Commercial|All Plans | $2,646.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $2,745.64 | ↑ +203% |
| Prison Healthcare | Medicaid|All Plans | $3,062.07 | ↑ +238% |
| United | Commercial|Non-Options PPO | $3,163.82 | ↑ +249% |
| United | Commercial|Options PPO | $3,163.82 | ↑ +249% |
| United | Commercial|HMO | $3,163.82 | ↑ +249% |
| United | Commercial|All Other Plans | $3,163.82 | ↑ +249% |
| Cigna | Commercial|LocalPlus | $5,681.85 | ↑ +527% |
| Cigna | Commercial|All Other Plans | $7,576.36 | ↑ +736% |
Visitor-reported prices
Comments
Venogram ext bil s&i at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $4,424.00 | $2,073.00 – $2,073.00 |
| St. John's Camarillo Hospital | Camarillo | $1,134.86 | $203.60 – $6,807.55 |
| Antioch Medical Center | ANTIOCH | $4,424.00 | $2,073.00 – $2,073.00 |
| Redwood City Medical Center | Redwood City | $4,424.00 | $2,073.00 – $2,073.00 |
| Santa Clara Medical Center | SANTA CLARA | $4,424.00 | $2,073.00 – $2,073.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $3,546.40 | $1,410.00 – $1,410.00 |
| Riverside Medical Center | RIVERSIDE | $3,546.40 | $1,410.00 – $1,410.00 |
| Fremont Medical Center | FREMONT | $4,424.00 | $2,073.00 – $2,073.00 |